Izimpawu ze-Adenocarcinoma: Funda Izimpawu Zomdlavuza Ovame ​​Kakhulu

-Delile

• Yini i-adenocarcinoma?
• Ziyini izimpawu zezinhlobo ezithile ze-adenocarcinoma?
• Umdlavuza webele
• Umdlavuza ocacile
• Umdlavuza wamaphaphu
• Umdlavuza wepancreatic
• Umdlavuza wendlala yesinye
• I-adenocarcinoma itholakala kanjani?
• Umdlavuza webele
• Umdlavuza ocacile
• Umdlavuza wamaphaphu
• Umdlavuza wepancreatic
• Umdlavuza wendlala yesinye
• Yelashwa kanjani i-adenocarcinoma?
• Uyini umbono wabantu abane-adenocarcinoma?
• Ungakutholaphi ukwesekwa
• Isifinyezo

Yini i-adenocarcinoma?

I-Adenocarcinoma wuhlobo lomdlavuza oqala kumaseli akhiqiza izindlala zomzimba wakho. Izitho eziningi zinalezi zindlala, kanti i-adenocarcinoma ingenzeka kunoma yiziphi kulezi zitho.

Izinhlobo ezijwayelekile zifaka umdlavuza webele, umdlavuza ongafani nhlobo, umdlavuza wamaphaphu, umdlavuza we-pancreatic, nomdlavuza wendlala yabesilisa.

Izimpawu zanoma imuphi umdlavuza zixhomeke ekutheni ukulesiphi isitho. Ngokuvamile azikho izimpawu noma izimpawu ezingacacile kuphela kuze kube yilapho umdlavuza usuthuthukile.

• Ziyini izimpawu zezinhlobo ezithile ze-adenocarcinoma?

  Umdlavuza webele

  Umdlavuza webele utholakala kaningi kwi-mammogram yokuhlola kusaqalwa ngaphambi kokuba kuqale izimpawu. Kwesinye isikhathi kubonakala njengesigaxa esisha esizwakala esifubeni noma ekhwapheni ngesikhathi sokuzihlola noma ngenhlanhla. Isigaxa somdlavuza webele ngokuvamile sinzima futhi asibuhlungu, kodwa hhayi njalo.

  Ezinye izimpawu zomdlavuza webele zifaka:

  • ukuvuvukala kwamabele
  • ushintsho ekubunjweni kwebele noma usayizi
  • isikhumba esifinyiwe noma esifakwe esifubeni
  • Ukukhishwa kwengono okunegazi, kusuka kuphela ebeleni elilodwa, noma ukuqala ngokungazelelwe
  • ukuhoxiswa kwezingono, ngakho-ke kufakwa ngaphakathi kunokunamathela ngaphandle
  • isikhumba esibomvu noma esinamaxolo noma ingono

  Umdlavuza ocacile

  Kungase kungabikho zimpawu uma umdlavuza ungakakhuli ngokwanele ukudala izinkinga noma uma utholakale usaqala ngesikhathi sokuhlolwa kokuhlolwa.

  
  

  Imidlavuza e-Colorectal imvamisa idala ukopha, ishiye igazi esitokisini, kepha inani lingaba lincane kakhulu ukuthi libonwe. Ekugcineni, kungahle kube nokwanele ukubonakala noma kulahleke okuningi okungase kuthuthuke i-IDA. Igazi elibonakalayo lingaba bomvu ngokukhanyayo noma imaroni ngombala.

  Ezinye izimpawu zomdlavuza wokubala zifaka:

  • ubuhlungu besisu noma amajaqamba
  • uhudo, ukuqunjelwa, noma olunye ushintsho emikhubeni yamathumbu
    
  • igesi, ukuqunjelwa, noma ukuzizwa ugcwele ngaso sonke isikhathi
  • indle eba mncane noma ibe ncanyana
  • ukuncipha kwesisindo okungaqondakali

  Umdlavuza wamaphaphu

  Uphawu lokuqala imvamisa ukukhwehlela okungapheli ngesikhwehlela esinegazi. Ngesikhathi kuvela izimpawu, umdlavuza wamaphaphu uvame ukuba sezingeni eliphakeme futhi ususabalalele kwezinye izindawo emzimbeni.

  Izimpawu ezingeziwe zomdlavuza wamaphaphu zifaka:

  • ubuhlungu besifuba
  • ukuphefumula kanzima
    
  • ukushaqeka
  • ukulahlekelwa isifiso sokudla nokuncipha
  • isifuba

  Umdlavuza wepancreatic

  Umdlavuza wepancreas ngomunye umdlavuza ovame ukungabi nazimpawu uze uthuthuke kakhulu. Ubuhlungu besisu nokuncipha kwesisindo kuyizimpawu zokuqala. I-jaundice (ukuphuzi kwesikhumba namehlo) okunokuluma kanye nesitulo esinombala wobumba nakho kungaba yizimpawu zokuqala.

  
  

  Ezinye izimpawu zomdlavuza we-pancreatic zifaka:

  • ukulahlekelwa isifiso sokudla
  • ukuhlungu obusemhlane
    
  • ukuzwa ukuvuvukala
  • isilungulela
  • isicanucanu nokuhlanza
  • izimpawu zamafutha amaningi esitokisini (indle inuka kabi futhi iyantanta)

  Umdlavuza wendlala yesinye

  Imvamisa abesilisa abanazo izimpawu zomdlavuza wendlala yabesilisa. Izimpawu ezingenzeka ngezigaba ezithuthukile zifaka:

  • umchamo onegazi
  • ukuchama njalo, ikakhulukazi ebusuku
  • ukungasebenzi kahle kwe-erectile
  • ukusakaza komchamo obuthakathaka noma ume bese uqala

  I-adenocarcinoma itholakala kanjani?

  Udokotela wakho uzokubuza umlando wakho wezokwelapha futhi enze ukuhlolwa ngokomzimba ukusiza ukunquma ukuthi iziphi izivivinyo okufanele uzikhethe. Ukuhlolwa kokuthola umdlavuza kuzohluka ngokuya ngendawo, kepha izivivinyo ezintathu ezisetshenziswa njalo zifaka:

  • Isidumbu. Umhlinzeki wezokunakekelwa kwempilo uthatha isampula lobunzima obungajwayelekile futhi aluhlole ngaphansi kwesibonakhulu ukuthola ukuthi unomdlavuza yini. Baphinde babheke ukuthi iqale kuleyo ndawo noma imastastasis.
  • Iskena se-CT. Lokhu kuskena kunikeza isithombe esingu-3-D sengxenye ethintekile yomzimba ukuhlola inqwaba engajwayelekile engakhombisa i-adenocarcinoma.
  • I-MRI. Lokhu kuhlolwa kokuxilongwa kunikeza izithombe eziningiliziwe zezitho zomzimba futhi kuvumela odokotela ukuthi babone izinqwaba noma izicubu ezingavamile.

  Odokotela bavame ukwenza i-biopsy ukuqinisekisa ukutholakala komdlavuza. Ukuhlolwa kwegazi kungahle kungabi lusizo ekuxilongweni, kepha kungasiza ekulandeleni inqubekela phambili yokwelashwa nokufuna imastastases.

  
  

  I-laparoscopy nayo ingasetshenziselwa ukusiza ukuqinisekisa ukuxilongwa. Le nqubo ifaka phakathi ukubheka ngaphakathi komzimba wakho ngesilinganiso esincane, esikhanyisiwe nekhamera.

  Nazi ezinye izivivinyo zokuhlola kanye nezivivinyo ezisiza ukuxilonga umdlavuza ezithweni ezithile nasezingxenyeni zomzimba:

  Umdlavuza webele

  • Ama-mammograms wokuhlola. Ama-X-ray amabele angasetshenziselwa ukuthola umdlavuza.
  • Ukubukwa kwe-Ultrasound nokukhulisiwe ku-mammogram. Lokhu kuskena kukhiqiza izithombe ezisiza ukuqhubekisa ukulinganisa ubukhulu futhi zinqume ukuthi ikuphi ngqo.

  Umdlavuza ocacile

  • Colonoscopy. Umhlinzeki wezokunakekelwa kwezempilo ufaka ububanzi kukholoni yakho ukuze ahlole umdlavuza, ahlole isisindo, asuse ukukhula okuncane, noma enze i-biopsy.

  Umdlavuza wamaphaphu

  • I-Bronchoscopy. Umhlinzeki wezokunakekelwa kwezempilo ufaka isikhala ngomlomo wakho emaphashini akho ukuze ufune noma uhlolisise isisindo bese wenza i-biopsy.
  • I-Cytology. Umhlinzeki wezokunakekelwa kwempilo uhlola amaseli avela phlegm yakho noma uketshezi oluzungeze iphaphu lakho ngaphansi kwesibonakhulu ukubona ukuthi kukhona yini amangqamuzana omdlavuza.
  • I-Mediastinoscopy. Umhlinzeki wezokunakekelwa kwezempilo ufaka ububanzi esikhunjeni endaweni ephakathi kwamaphaphu akho kuya kuma-lymph node, efuna ukusabalala komdlavuza kwasendaweni.
  • I-Thoracentesis (umpompi wokuncenga). Umhlinzeki wezokunakekelwa kwezempilo ufaka inaliti esikhunjeni ukuze asuse iqoqo loketshezi elizungeze iphaphu lakho, elihlolelwa amangqamuzana omdlavuza.

  Umdlavuza wepancreatic

  • I-ERCP. Umhlinzeki wezokunakekelwa kwezempilo ufaka isikhala ngomlomo wakho futhi asidlulise esiswini sakho kanye nengxenye yamathumbu akho amancane ukuhlola amanyikwe akho noma ukwenza i-biopsy.
  • I-endoscopic ultrasound. Umhlinzeki wezokunakekelwa kwezempilo ufaka isikhala emlonyeni wakho esiswini sakho ukuze ahlole amanyikwe akho nge-ultrasound noma enze i-biopsy.
  • I-Paracentesis. Umhlinzeki wezokunakekelwa kwezempilo ufaka inaliti esikhunjeni ukuze asuse iqoqo loketshezi esiswini sakho bese ehlola amaseli angaphakathi.

  Umdlavuza wendlala yesinye

  • Ukuhlolwa kwe-Prostate-specific antigen (PSA). Lokhu kuhlolwa kungathola amazinga aphezulu we-PSA egazini, angahle ahlotshaniswe nomdlavuza wesinye. Ingasetshenziswa njengokuhlolwa kokuhlola noma ukulandela ukusebenza kokwelapha.
  • I-ultrasound engaguquki. Umhlinzeki wezokunakekelwa kwezempilo ufaka ububanzi ku-rectum ukuthola i-prostate biopsy.

  Yelashwa kanjani i-adenocarcinoma?

  Ukwelashwa okuqondile kusekelwe ohlotsheni lwesimila, usayizi nezimpawu zalo, nokuthi ngabe kukhona yini ukubandakanyeka kwemastastases noma i-lymph node.

  Umdlavuza owenziwe waba sendaweni eyodwa yomzimba uvame ukwelashwa ngokuhlinzwa nangemisebe. Lapho umdlavuza ususetshenzisiwe, ukwelashwa ngamakhemikhali kungenzeka kufakwe ekwelashweni.

  Izinketho zokwelashwa

  Kunezindlela ezintathu zokwelapha eziyinhloko ze-adenocarcinomas:

  • ukuhlinzwa ukuze kususwe umdlavuza nezicubu ezizungezile
  • chemotherapy kusetshenziswa imishanguzo efakwa emithanjeni ebulala amangqamuzana omdlavuza emzimbeni wonke
  • ukwelashwa ngemisebe okuqeda amangqamuzana omdlavuza endaweni eyodwa

  Uyini umbono wabantu abane-adenocarcinoma?

  I-Outlook incike ezintweni eziningi, kufaka phakathi isigaba somdlavuza, ubukhona bama-metastases, kanye nempilo yonke. Izibalo zokusinda ziyizilinganiso ezisuselwa kwimiphumela emaphakathi. Khumbula ukuthi umphumela womuntu ungahluka kunezilinganiso, ikakhulukazi ngezifo zokuqala.

  Izinga lokusinda leminyaka emihlanu lomdlavuza othize likhombisa iphesenti labasindile abaphila eminyakeni emi-5 ngemuva kokuxilongwa. Ngokusho kwe-American Society of Clinical Oncology (ASCO), amazinga okusinda yeminyaka emihlanu ye-adenocarcinoma yile:

  • umdlavuza webele: amaphesenti angama-90
  • umdlavuza obala: amaphesenti angama-65
  • Umdlavuza we-esophageal: amaphesenti ayi-19
  • umdlavuza wamaphaphu: amaphesenti ayi-18
  • umdlavuza wepancreatic: amaphesenti ayisishiyagalombili
  • umdlavuza wendlala yesinye: cishe amaphesenti ayi-100

  Ungakutholaphi ukwesekwa

  Ukuthola ukuxilongwa komdlavuza kungakucindezela futhi kube nzima. Uhlelo oluhle lokusekela lubalulekile kubantu abaphila nomdlavuza kanye nemindeni yabo nabangane.

  imininingwane nokusekelwa

  Ukuphila ne-adenocarcinoma? Nazi izixhumanisi zezinhlobo eziningi zokusekelwa kwakho nabathandekayo bakho.

  • imiphakathi yokusekelwa online yokuvuselela umndeni nabangane
  • i-imeyili kanye nezinombolo zosizo zokuphendula imibuzo noma zokunikeza izeluleko
  • izinhlelo zabangane zokukuxhuma nomuntu osinde kuhlobo lwakho lomdlavuza
  • amaqembu okusekelwa komdlavuza jikelele wabantu abananoma yiluphi uhlobo lomdlavuza
  • amaqembu okusekelwa aqondene nomdlavuza ahlukaniswa ngohlobo lwezifo
    
  • amaqembu okusekelwa ajwayelekile kunoma ngubani ofuna ukwesekwa
  • izinsiza zokweluleka zokufunda nokuthola umeluleki
  • izinhlangano ezigcwalisa izifiso zabantu abasezigabeni eziphambili zesifo

  Isifinyezo

  Yonke i-adenocarcinoma iqala kumaseli wezindlala afaka isitho somzimba. Ngenkathi kungahle kube nokufana phakathi kwabo, izimpawu ezithile, ukuhlolwa kokuxilongwa, ukwelashwa, nokubukwa kwehlukile ngohlobo ngalunye.